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Unintended consequences of a reflex urine culture order set on appropriate antibiotic use

Published online by Cambridge University Press:  23 June 2020

Corinne N. Klein ,
Miriam R. Elman ,
John M. Townes ,
James S. Lewis II  and
Jessina C. McGregor Open the ORCID record for Jessina C. McGregor [Opens in a new window]
Corinne N. Klein
Affiliation:
ThedaCare Physicians, Infectious Diseases, Appleton, Wisconsin
Miriam R. Elman
Affiliation:
School of Public Health, Oregon Health & Science University–Portland State University, Portland, Oregon
John M. Townes
Affiliation:
Division of Infectious Diseases, Department of Medicine, Oregon Health & Science University, Portland, Oregon
James S. Lewis II
Affiliation:
Division of Infectious Diseases, Department of Medicine, Oregon Health & Science University, Portland, Oregon Department of Pharmacy Services, Oregon Health & Science University, Portland, Oregon Department of Pharmacy Practice, Oregon State University, Portland, Oregon
Jessina C. McGregor*
Affiliation:
School of Public Health, Oregon Health & Science University–Portland State University, Portland, Oregon Department of Pharmacy Practice, Oregon State University, Portland, Oregon
*
Author for correspondence: Jessina C. McGregor, E-mail: mcgregoj@ohsu.edu
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Abstract

We evaluated the impact of reflex urine culture screen results on antibiotic initiation. More patients with positive urine screen but negative culture received antibiotics than those with a negative screen (30.5 vs 7.1%). Urine screen results may inappropriately influence antibiotic initiation in patients with a low likelihood of infection.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 41 , Issue 9 , September 2020 , pp. 1090 - 1092
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Copyright
© 2020 by The Society for Healthcare Epidemiology of America. All rights reserved.

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Footnotes

PREVIOUS PRESENTATION. Preliminary data from this research were previously presented at IDWeek 2015 on October 10, 2015, in San Diego, California.

References

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